rcclary
Networker
I work in a MFM practice and was wondering, if we have a patient coming in for an amnio and an ultra sound and we are billing 5900; 76946; A4550; 76819 & 76820 can we bill and E/M visit w/ 25 modifier?
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Wiki Amnio
- Thread starter rcclary
- Start date
mitchellde
True Blue
Is this patient pregnant? What is the reason for the amnio? IF the patient is pregnant you have the incorrect dx code, you MUST select a code from chapter 11. And if the procedure was planned prior to this encounter (amnio usually are) then no you cannot charge the E/M encounter.
rcclary
Networker
I actually meant to put 59000 not 5900 as the CPT code along with the other CPT codes listed. The patient is pregnant and the dx is 657.03 (Polyhydramnios). The Amino was planned but what if the patient was seen in the office and then the physician decided to do an amnio at the same visit? Could we bill the E/M with 57 modifier?
mitchellde
True Blue
only if there are greater than 10 days post procedure global otherwise it would be a 25 modifier.